Role overview

Qualifications

Bachelor Degree and 2 year experience in data analysis and information reporting relating in healthcare, consulting or insurance industries OR 6 years experience in data analysis information reporting relating in healthcare, consulting or insurance industries
Requires knowledge and experience in own function; still acquiring higher-level knowledge and skills
Builds own knowledge of HCSC, business processes and customers
Demonstrated communications (written and verbal) and interpersonal skills

Responsibilities

Supports Medicare FMO Topline Agency partners, performing research and assisting in analyzing financial and health data
Serves as a strategic liaison dedicated to delivering data-driven insights and exceptional service to optimize performance and partner growth
Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers
Responsible for end-to-end issue resolution and escalation management, partnering across internal matrix teams

Key facts

Remote from: Illinois (USA), Montana (USA), New Mexico (USA), Oklahoma (USA), Tennessee (USA), Texas (USA)
Freelance
Senior (5-10 years)
Consultant
English

Hard skills

Financial Analysis Clinical Data Analysis Account Management Medicare Customer Centricity Issue Management Project Collaboration

Other skills

Data Reporting
Problem Solving
Communication
Social Skills

About the company

Health Care Service Corporation

Health Insurance (Payers)

Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), is an Independent Licensee of the Blue Cross and Blue Shield Association. We are the largest customer-owned health insurer in the United States, serving more than 18.6 million members through our Plans in Illinois, Montana, New Mexico, Oklahoma, and Texas. For nearly a century, we have enabled and coordinated the access to quality care for millions of members. Our experience and industry knowledge establishes a solid foundation for our future—driving innovations that further expand access, improve health outcomes, and reduce costs. Embedded within the fabric of how we operate is a deep sense of caring and commitment that informs how we serve our members, engage in local communities, and deliver positive change to the health care industry. As health care needs evolve, we leverage our portfolio of companies to deliver differentiated value to all industry stakeholders so that, together, we make more possible. Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization: HCSC.com/careers. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to an inclusive, drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability, or protected veteran status.

Company details

Company typeXLarge

IndustryHealth Insurance (Payers)

Company size10001

Links

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Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

The individual in this position supports Medicare FMO Topline Agency partners, performing research and assisting in analyzing financial and health data. This role serves as a strategic liaison dedicated to delivering data-driven insights and exceptional service to optimize performance and partner growth. Through a consultative approach, the Client Consultant translates complex data into actionable insights that empower Topline Agency to make informed business decisions, cost containment strategies, while maintaining a customer centric approach to service, anticipate partner needs, understand potential pitfalls, and efficiently and effectively responds to partner requests. This position analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers, identifies and interprets trends and patterns in datasets to locate influences to help improve satisfaction with HealthSpring. The role is also responsible for end-to-end issue resolution and escalation management, partnering across internal matrix teams, including commissions, contracting, enrollment, compliance, and legal, ensuring timely and accurate resolution of service needs. The Client Consultant supports the improvement of the quality and efficiency of HealthSpring Medicare by delivering high quality account management support and sales operations every day, and remains compliant with all government and company procedures and regulations.

Required Job Qualifications:

Bachelor Degree and 2 year experience in data analysis and information reporting relating in healthcare, consulting or insurance industries OR 6 years experience in data analysis & information reporting relating in healthcare, consulting or insurance industries.
Requires knowledge and experience in own function; still acquiring higher-level knowledge and skills
Builds own knowledge of HCSC, business processes and customers
Solves a range of problems
Analyzes possible solutions using standard procedures
Receives a moderate level of guidance and direction

Preferred Job Qualifications:

Knowledge of account management and service operations
Understanding of Medicare services and requirements preferred
Understanding CMS Compliance and guidance or demonstrated research capability
Demonstrated communications (written and verbal) and interpersonal skills
Ability to problem solve, identify and assist with removing roadblocks
Work From Home: This is a fully remote position, available in the US only
Sponsorship: Sponsorship is not available.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$61,500.00 - $136,100.00

Exact compensation may vary based on skills, experience, and location.